Headaches Flashcards
what are the 5 primary headaches?
Migrane, cluster, tension, sinus, hormonal
what is a migraine?
Location, Characteristic, duration and associated symptoms
disorder of recurrent attacks, unilateral (70%),
gradual onset, crescendo pattern
4-72 hrs
nausea, vomiting, photo and phono phobia
Location, Characteristic, duration and associated symptoms of Tension headache
bilateral forehead, pressure, variable duration no associated symptoms.
most common headache
Location, Characteristic, duration and associated symptoms of cluster headache
unilateral around eye
fast onset, deep pain
30 min- 3hrs
runny nose, eyelid droop, constricted pupils
what is a cluster headache?
group of idiopathic headaches associated with trigeminal neuralgia
what is a sinus headache?
associated with sinusitis
what is a hormonal headache?
low oestrogen, beginning of mensural cycle, withdrawal from HRT
what is the treatment for headache?
NSAIDS, antiemetic, o2
what is a secondary headache? SNOOP
Systemic symptoms Neurological symptoms Onset is sudden and pt over 40 Other associated conditions Previous headache Hx with new features
2 causes of secondary headache?
inter cranial heamorrage
internal carotid artery dissection
list 5 red flags for headache
fever, neck stiffness, triggered by cough, visual changes, vomiting
what headache is related to carbon monoxide?
tension
management of headache?
if new or different to chronic admit to ED. if red flags ATMIST
